87A-89661-55332

6 vaccinations 6 coded responses 31 check-ins 5 free-text entries 4 call cases

Sex: —
Age at first dose: 41-45
ZIP prefix: 798 / TX
Registered: 2021-01-28

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-28
Registered in v-safe
2021-01-28
Dose 1 — Pfizer-BioNTech
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: I have underlying chronic health issues which cause these

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-24
Dose 2 — Pfizer-BioNTech
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Survey response — day 14, dose 2
MedDRA: Chest pain, Cough, Unevaluable event, Upper-airway cough syndrome — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Chest pain, nasal drip without congestion, coughing · Healthcare visit (other): Im in a rural area and this is my best option.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-08-27
Dose 3 — Pfizer-BioNTech
2022-02-24
Survey response — 12 months, dose 2
MedDRA: Asthenia, Dyspnoea, Infection, Migraine with aura — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Increased migraines, aura, shortness of breath and decreased stamina Post infection

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-25
Call 1 — Left Voicemail
2022-02-25
Call successful
Participant prefers to complete VAERS report online
2022-04-22
Dose 4 — Pfizer-BioNTech
2022-04-22
Health check-in — day 0, dose 4
Feeling: Fair · None

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2022-04-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Survey response — day 14, dose 4
MedDRA: Chest pain, Hospitalisation — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Severe chest pain- hospitalization

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — day 14, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-09
Call 1 — Left Voicemail
2022-05-13
Survey response — day 21, dose 4
MedDRA: Asthenia, Dyspnoea, Heart rate increased, Hospitalisation, Hypoaesthesia, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Heart rate spike, numbness, unexplained weakness, trouble breathing, hospitalization · Healthcare visit (other): Though I have asked for a Covid test nobody has given me one

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-17
Call 1 — Left Voicemail
2022-05-17
Call 2 — Left Voicemail
2022-05-17
Call 2 — Left Voicemail
2022-05-17
Call 1 — Left Voicemail
2022-05-22
Health check-in — day 28, dose 4
Feeling: Poor

Adult check-in
2022-09-15
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2023-04-12
Dose 6 — Pfizer-BioNTech
2023-04-13
Survey response — days 1–6 daily, dose 6
MedDRA: Unevaluable event — Feeling: Good · Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Pfizer-BioNTech
2	2021-02-24	Pfizer-BioNTech
3	2021-08-27	Pfizer-BioNTech	No
4	2022-04-22	Pfizer-BioNTech	No
5	2022-09-15	Pfizer-BioNTech	Flu
6	2023-04-12	Pfizer-BioNTech	No

Call center

4 call center cases

2 successful · 2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): I have underlying chronic health issues which cause these

Release 5 — day 14, dose 2

2021-03-10

Symptoms: Chest pain, nasal drip without congestion, coughing

Healthcare visit (other): Im in a rural area and this is my best option.

Release 11 — 12 months, dose 2

2022-02-24

Symptoms: Increased migraines, aura, shortness of breath and decreased stamina Post infection

Release 11 — day 14, dose 4

2022-05-06

Symptoms: Severe chest pain- hospitalization

Release 11 — day 21, dose 4

2022-05-13

Symptoms: Heart rate spike, numbness, unexplained weakness, trouble breathing, hospitalization

Healthcare visit (other): Though I have asked for a Covid test nobody has given me one

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Unevaluable event	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Infection	·	·	✓
SD	Migraine with aura	·	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release